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Goodwill and Intangible Assets (Tables)
6 Months Ended
Jun. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Changes in Carrying Amount of Goodwill
The table below sets forth the changes in the carrying value of goodwill by reportable segment for the six months ended June 30, 2024.

Healthcare
EducationCommercialTotal
Balance as of December 31, 2023:
Goodwill$644,983 $123,652 $312,968 $1,081,603 
Accumulated impairment losses(190,024)(1,417)(264,451)(455,892)
Goodwill, net as of December 31, 2023$454,959 $122,235 $48,517 $625,711 
Goodwill recorded in connection with business acquisitions
— 21,677 76 21,753 
Foreign currency translation— (13)— (13)
Goodwill, net as of June 30, 2024$454,959 $143,899 $48,593 $647,451 
Intangible Assets
Intangible assets as of June 30, 2024 and December 31, 2023 consisted of the following:
As of June 30, 2024As of December 31, 2023
Useful Life 
(in years)
Gross
Carrying
Amount
Accumulated
Amortization
Gross
Carrying
Amount
Accumulated
Amortization
Customer relationships
5 to 10
$26,632 $8,250 $60,636 $48,928 
Technology and software
2 to 5
16,230 11,483 16,230 10,195 
Trade names66,000 6,000 6,000 6,000 
Non-competition agreements
3 to 5
950 489 720 389 
Customer contracts
1 to 4
700 172 — — 
Total$50,512 $26,394 $83,586 $65,512 
Schedule of Future Amortization Expense The table below sets forth the estimated annual amortization expense for the intangible assets recorded as of June 30, 2024.
Year Ending December 31,Estimated Amortization Expense
2024$6,536 
2025$6,808 
2026$5,044 
2027$3,637 
2028$2,668